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既定的精神分裂症发育风险因素如何改变大脑的发育方式?

How do established developmental risk-factors for schizophrenia change the way the brain develops?

机构信息

Queensland Brain Institute, University of Queensland, Brisbane, 4072, QLD, Australia.

Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, 4076, QLD, Australia.

出版信息

Transl Psychiatry. 2021 Mar 8;11(1):158. doi: 10.1038/s41398-021-01273-2.

Abstract

The recognition that schizophrenia is a disorder of neurodevelopment is widely accepted. The original hypothesis was coined more than 30 years ago and the wealth of supportive epidemiologically data continues to grow. A number of proposals have been put forward to suggest how adverse early exposures in utero alter the way the adult brain functions, eventually producing the symptoms of schizophrenia. This of course is extremely difficult to study in developing human brains, so the bulk of what we know comes from animal models of such exposures. In this review, I will summarise the more salient features of how the major epidemiologically validated exposures change the way the brain is formed leading to abnormal function in ways that are informative for schizophrenia symptomology. Surprisingly few studies have examined brain ontogeny from embryo to adult in such models. However, where there is longitudinal data, various convergent mechanisms are beginning to emerge involving stress and immune pathways. There is also a surprisingly consistent alteration in how very early dopamine neurons develop in these models. Understanding how disparate epidemiologically-validated exposures may produce similar developmental brain abnormalities may unlock convergent early disease-related pathways/processes.

摘要

精神分裂症是一种神经发育障碍,这一观点已被广泛接受。该假说最初提出于 30 多年前,此后不断有支持性的流行病学数据涌现。目前已经提出了一些假设,试图解释宫内不利的早期暴露是如何改变成年人大脑功能的,最终导致精神分裂症的症状出现。当然,在发育中的人类大脑中研究这一问题极其困难,因此我们的大部分认知来自于此类暴露的动物模型。在这篇综述中,我将总结流行病学上已证实的主要暴露因素是如何改变大脑形成方式的,从而导致与精神分裂症症状相关的异常功能。令人惊讶的是,此类模型中很少有研究从胚胎到成年期来检查大脑的个体发生。然而,在存在纵向数据的情况下,各种趋同机制开始出现,涉及应激和免疫途径。在这些模型中,早期多巴胺神经元的发育也存在惊人的一致性改变。了解不同的流行病学验证暴露如何可能产生相似的发育性脑异常,可能有助于揭示趋同的早期疾病相关途径/过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e24/7940420/4952cff1d1c5/41398_2021_1273_Fig1_HTML.jpg

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